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AgdaPkt 2004-06-28
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AgdaPkt 2004-06-28
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Last modified
7/16/2012 4:04:41 PM
Creation date
6/24/2004 4:04:09 PM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Date
6/28/2004
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�-1-D.�� <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California � <br /> ) <br /> County of � <br /> On , before me, ! <br /> Date Name and Title of Officer (e.g., °Jane Doe, Notary Public") I <br /> personally appeared <br /> Name�s) of Signer�s) <br /> I � personally known to me <br /> � � proved to me on the basis of satisfactory <br /> i <br /> j evidence to be the person(s) whose name(s) <br /> � is/are subscribed to the within instrument and <br /> � acknowledged to me that he/she/they executed <br /> the same in his/heNtheir authorized <br /> capacity(ies), and that by his/her/their <br /> signature(s) on the instrument the person(s), or <br /> the entity upon behalf of which the person(s) <br /> acted, executed the instrument. <br /> � WITNESS my hand and official seal. <br /> � <br /> I �� <br /> Place Notary Seal Above Signature of Notary Public <br /> II <br /> OPT/ONAL <br /> I� Though the mformation below is not required by Iaw, it may prove valuable to persons relying on the document <br /> � and could prevent fraudulent removal and reattachment of this form to another document. <br /> II <br /> i! Description of Attached Document <br /> '! Title or Type of Document: <br /> Document Date: Number of Pages: <br /> i <br /> i Signer(s) Other Than Named Above: <br /> i Capacity(ies) Claimed by Signer <br /> I S19tlQf Name RIGHT THUMBPRINT <br /> � � Individual <br /> i I OF SIGNER <br /> ;� Corporate Officer-Title(s): ToP of tnumb nere <br /> j; � Partner-� Limited � General <br /> ';',� � Attomey in Fact <br /> l _ Trustee <br /> I i � Guardian or Conservator <br /> � Other. <br /> � Signer is Representing: <br /> � <br /> � <br /> �'�;:.;:-_�, � <br /> ����.,,,. <br />
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